Utajony zespół Brugadów — sukces czy porażka? Odpowiedzi dostarczy wszczepialny rejestrator zdarzeń

29-year-old patient was admitted to a hospital due to 2 episodes of presyncope and one syncopal episode. There were no significant abnormalities in medical history, physical examination and additional tests. Resting surface ECG showed changes suggestive of type 2 Brugada syndrome. Ajmaline challenge revealed typical ECG features of type 1 Brugada syndrome. Due to low risk of sudden cardiac death, and unclear mechanism of syncope a implantable cardioverterdefibrillator was not implanted. However the patient was provided with an implantable loop recorder in order to verify arrhythmic etiology of syncope.